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City of Sanford Equity Initiative Taskforce

  1. APPLICATION FOR CITY OF SANFORD EQUITY INITIATIVE TASK FORCE

  2. The Equity Initiative Taskforce will consist of nine (9) members from a diverse sector of the community and three (3) At-Large members. A facilitator will be provided.

  3. All applicants must complete this form in its entirety regardless of previous application or appointment status. Incomplete applications will not be considered.

  4. Applicants who apply to serve on one of the sectors listed below MUST live or work within Sanford’s city limits. Applicants who apply to serve for an At-Large position MUST live within Sanford’s city limits. All applicants agree to serve a term of six to twelve months.

  5. Please check the box for the sector you wish to represent:

  6. APPLICANT CONTACT INFORMATION

  7. Do you live in Sanford?

  8. Do you work in Sanford?

  9. Are you a registered voter in Sanford?

  10. APPLICANT BACKGROUND INFORMATION

  11. CONFLICT OF INTEREST DISCLOSURE

  12. If appointed, do you anticipate any conflicts of interest?

  13. By my signature below, I understand the information I have stated above shall be considered public record and may be used in news releases and other materials to identify me if selected to serve on a City Committee.

  14. Leave This Blank:

  15. This field is not part of the form submission.